Provider Demographics
NPI:1336729276
Name:COURAGEOUS HOPE COUNSELING LLC
Entity Type:Organization
Organization Name:COURAGEOUS HOPE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:MARCELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:GIOVANNETTI
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:717-350-0610
Mailing Address - Street 1:240 ANDERSONTOWN RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-6023
Mailing Address - Country:US
Mailing Address - Phone:717-350-0610
Mailing Address - Fax:
Practice Address - Street 1:240 ANDERSONTOWN RD
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-6023
Practice Address - Country:US
Practice Address - Phone:717-502-4390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-14
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty